Chapter 12: Treatment of the Unconscious Athlete

Transcription

1 Chapter 12: Treatment of the Unconscious Athlete

2 Objectives Discuss general principles of on-the-field emergency care Discuss the primary survey Discuss the challenges faced by the ATC when dealing with the unconscious athlete Discuss the procedures for professional rescuer CPR

4 Primary Survey Athletic trainer must be able to triage injuries Life threatening injuries treated first Those injuries requiring CPR, profuse bleeding and shock

5 Steps of Primary Survey Establish level of consciousness Gently shake and ask athlete Are you okay? If no response, EAP should be activated Positioning of body should be noted and adjusted in the event CPR is necessary Establish status of ABCs If no breathing, open airway If no pulse, call for AED, begin CPR If athlete is breathing and has a pulse, check for severe bleeding

10 Dealing with the Unconscious Athlete With athlete supine and not breathing: ABC s should be established immediately If athlete supine and breathing: nothing should be done until consciousness resumes* Monitor vitals *The facemask should be removed from the unconscious, breathing football athlete in case the athlete stops breathing.

11 Dealing with the Unconscious Athlete If prone and not breathing: log roll and establish ABC s If prone and breathing: nothing should be done until consciousness resumes --then carefully log roll and continue to monitor ABC s* *The unconscious, breathing football athlete should be log rolled and the face mask removed in case the athlete stops breathing.

12 Dealing with the Unconscious Athlete Life support should be monitored and maintained until emergency personnel arrive Once stabilized, a secondary survey should be performed

17 Establishing Breathing If breath doesn t go in, re-tilt and ventilate If breath still does not go in, abdominal thrusts and look for object in airway (perform finger sweep only if object is visible)

19 Restoring Circulation Artificial chest compressions Locate margin of ribs and xiphoid process of sternum Two fingers width above xiphoid process, place heal of hand on lower portion of sternum Place other hand on top with fingers parallel of interlocked

21 Restoring Circulation Survival rate much greater with use of an AED CPR can help circulate oxygenated blood to the brain & other organs BUT may not correct the underlying cardiac problem

22 Restoring Circulation Cardiac Chain of Survival early recognition & access to EMS early CPR early defibrillation early advanced life support (ALS)

23 Restoring Circulation Many times, the heart does not stop completely, but instead goes into a state of fibrillation or quivering (V-fib or ventricular fibrillation) results in no circulation & no pulse

31 Professional Rescuer CPR As an athletic trainer, you will more likely be in a situation requiring 2 rescuer CPR than 1 rescuer CPR You should be comfortable with these procedures especially the change 3 protocols 2 1

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